Carson Tahoe Physician Clinics

NPI #1588895874 in Minden, Nevada

Provider Information

NPI Number: 1588895874
Entity Type: Organization
Organization Name: Carson Tahoe Physician Clinics
Primary Specialty: Internal Medicine
Enumeration Date: Aug 4, 2009
Last Updated: Aug 4, 2009

Practice Location

Address: 925 IRONWOOD DR
Address 2: #2108
City: Minden
State: Nevada
ZIP Code: 89423-5178
Phone: (775) 445-7929

Authorized Official

Name: MRS. MAGGIE L IVERSON, MBA, FACMPE
Title: DIRECTOR
Phone: (775) 283-3096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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